Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.84 / $1,675.86 / $2,520.46	Professional		$1,249.84	$1,675.86	$2,520.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.85 / $1,873.77 / $2,171.75	Professional		$1,366.85	$1,873.77	$2,171.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.35 / $2,132.19 / $3,049.77	Facility		$1,174.35	$2,132.19	$3,049.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.24 / $2,188.62 / $2,888.60	Professional		$2,006.24	$2,188.62	$2,888.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,720.33 / $2,164.29	Professional		$32.34	$1,720.33	$2,164.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,109.73 / $2,482.05 / $2,888.60	Professional		$2,109.73	$2,482.05	$2,888.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.56 / $1,870.96 / $2,554.58	Professional		$1,315.56	$1,870.96	$2,554.58